Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cory Rathgeber (NPI 1649367343)

Field	Value
Entity Type	Individual
Organization	Cory Rathgeber
Address	33 9th St W
City	Dickinson
State	ND
ZIP	58601
Taxonomy	Family Medicine Physician
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicare	$226.9K
Medicaid	$0

Key Findings

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 63.1% of this provider's total Medicare revenue, driven by J0897 ($60.5K, 26.8%), 99214 ($43.2K, 19.1%), and 99213 ($38.8K, 17.2%). These three services together form the majority of the $226.9K in Medicare revenue on file, indicating a narrow set of high-value services that dominate billing.

Service-line profile points to primary care with an injections/vaccination focus: the prominence of 99214 and 99213 shows a heavy volume of established outpatient visits, while J0897 and multiple vaccine codes (90662, 90671, 91320, G0008, G0009) indicate routine in-office injectable therapies and immunizations. Operationally this mix suggests a practice resourced for office-based chronic care management plus regular administration of injectable medications and vaccines.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $226.9K and there is no Medicaid billing on file, so the provider’s current public-payer footprint is concentrated entirely in Medicare. That single-payer exposure has implications for network negotiations and patient panel composition, since Medicaid is not contributing to the reported public revenue stream.

Competitive standing on evaluation-and-management is notably high: 99214 ranks at the 97th percentile and is described as "notably above typical national volume," while 99213 ranks at the 98th percentile and is labeled an "extreme outlier, far above typical national volume." These percentiles imply this provider carries an unusually large caseload of established-patient office visits compared with national peers, even though high-volume procedure/drug codes like J0897 sit at a more typical level (J0897 at the 58th percentile).

Preventive care and vaccine administration are meaningful secondary revenue streams: codes for influenza and pneumococcal vaccines (90662 at the 94th percentile, 90671 at the 94th percentile, G0008 at the 89th percentile, and G0009 at the 92th percentile) appear repeatedly in the top codes and contribute a combined share of revenue beyond the top three. This pattern signals a practice that routinely delivers adult immunizations alongside chronic care management, which may attract vaccine-eligible Medicare patients.

Post-acute/nursing-facility care is a notable component of activity: 99308 accounts for $17.2K (7.6% of Medicare revenue) and ranks in the 70th percentile, indicating the provider performs subsequent nursing facility E/M visits at a above-average but still typical level relative to peers. The presence of 99308 alongside high outpatient E/M volumes suggests a mixed outpatient plus facility-based follow-up role in the local care continuum.

Procedural and specialty services are present but not dominant: lower-ranked procedure codes such as 45380 ($4.2K, 1.9%, 30th percentile) and 17110 ($945, 0.4%, 4th percentile) show the provider performs occasional endoscopic biopsies and skin lesion destructions, but these procedures are a small fraction of overall Medicare revenue. The billing profile therefore aligns more with broad-scope family medicine and office procedures rather than a procedure-heavy specialty practice.

Tenure and scale: the NPI was enumerated on 2006-10-06 (~20 years ago), indicating long-standing provider enrollment, but the lifetime Medicare revenue on file is relatively modest at $226.9K. Combined with concentrated revenue by a few codes, this suggests either a smaller or part-time clinical billing footprint despite long tenure in the Medicare program.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	3,360	$20	$60.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	920	$50	$43.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	880	$40	$38.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	370	$50	$17.2K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	200	$70	$14.2K
90671	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…	40	$240	$9.6K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	70	$130	$8.3K
G0008	Administration of influenza virus vaccine	200	$30	$6.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$150	$4.2K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	40	$90	$3.5K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Cory Rathgeber — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	11	40	1,920	$20	$61.8K
91320	24	90	30	$130	$14.4K
45380	28	40	50	$150	$11.4K
99214	20	1,470	90	$60	$10.4K
99308	9	90	50	$50	$8.7K
17000	54	70	180	$30	$6.7K
99213	8	1,490	80	$50	$5.8K
17110	55	60	90	$50	$5.4K
90480	69	160	60	$40	$5.1K
90662	17	190	40	$70	$5.1K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cory Rathgeber, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Sanford Health Network North	MN	Multi-Specialty Clinic/Center	$0	$5.2M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Sanford Bismarck	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M

Nearby Providers

Other providers in the same ZIP code as Cory Rathgeber, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Able Inc	ND	Community/Behavioral Health Agency	$0	$39.8M
Hit Inc.	ND	Early Intervention Provider Agency	$0	$17.4M
St Josephs Hospital And Health Center	ND	Rural Acute Care Hospital	$0	$4.1M
Dickinson Area Ambulance Service Inc	ND	Land Ambulance	$574.5K	$1.8M
Omaha Therapy, Inc	ND	Rehabilitation Clinic/Center	$0	$1.8M
Badlands Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M
High Plains Dental	ND	General Practice Dentistry	$0	$1.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$771.3K
Heartview Foundation Dickinson	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$677.5K
Joann Nupen Lindemann	ND	Family Nurse Practitioner	$517.4K	$0

Cory Rathgeber — Billing Profile & Reimbursement Data

Sign up for Cory Rathgeber — Billing Profile & Reimbursement Data policy alerts

Cory Rathgeber — Billing Profile & Reimbursement Data

Sign up for Cory Rathgeber — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References